EP0057205A1 - Calibrating dilatation catheter. - Google Patents
Calibrating dilatation catheter.Info
- Publication number
- EP0057205A1 EP0057205A1 EP81902185A EP81902185A EP0057205A1 EP 0057205 A1 EP0057205 A1 EP 0057205A1 EP 81902185 A EP81902185 A EP 81902185A EP 81902185 A EP81902185 A EP 81902185A EP 0057205 A1 EP0057205 A1 EP 0057205A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- catheter
- oval
- balloon means
- shaft
- section
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000000034 method Methods 0.000 claims abstract description 6
- 210000004204 blood vessel Anatomy 0.000 claims description 8
- 239000012530 fluid Substances 0.000 claims description 7
- 230000000916 dilatatory effect Effects 0.000 claims description 4
- 230000010339 dilation Effects 0.000 claims description 2
- 210000001367 artery Anatomy 0.000 abstract description 9
- 239000011324 bead Substances 0.000 description 5
- 238000010276 construction Methods 0.000 description 2
- 235000017276 Salvia Nutrition 0.000 description 1
- 241001072909 Salvia Species 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000007664 blowing Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000013536 elastomeric material Substances 0.000 description 1
- 231100001261 hazardous Toxicity 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000004816 latex Substances 0.000 description 1
- 229920000126 latex Polymers 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000002966 stenotic effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/104—Balloon catheters used for angioplasty
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
Definitions
- United States Patent 4,271,839, granted June 9, 1981, for Dilatation Catheter Method and Apparatus shows a dilatation catheter in which dilatation is accomplished by everting a balloon from the end of a catheter, blowing the balloon up to dilate an occluded blood vessel, deflating the balloon, and re-inverting the balloon within the catheter.
- United States patent application Serial No. 114,979, filed January 24, 1980 (PCT/US81/00086) for Flexible Calibrator shows a catheter having a calibrator bead at the distal end thereof which is used to measure the diameter of the lumen in a stenotic segment of blood vessel.
- the present invention com- prises a calibrator bead in trailing relation to a dilatation balloon.
- the combination of these two elements enables the calibrator element to measure the lumen of the dilated artery rather than, as in the co-pending application, being used to measure the lumen of an occluded passage in a pre-dilated
- the present invention relates to a method and apparatus for use in dilating occluded blood vessels and for measuring the degree of dilation of the occlusions within these vessels.
- these two objectives were attainable, as a result of the teachings set forth in the above-identified co-pending patent applications, by the use of two catheters, one having a balloon element to dilate the occlusion and the other having a calibrator element to measure the widened lumen of the occluded segment of artery. This could result in the repeated insertion and removal of catheters into and out of arteries until the sizes of the enlarged pas ⁇ sages of the occluded segments of the arteries were of accept ⁇ able dimensions. The heavier the traffic of catheters within blood vessels the greater is the risk that material may be accidentally dislodged therefrom with possible consequent blockage elsewhere in the blood circulation system.
- the present invention combines in a single catheter a dilatation balloon element and a calibrator bead element. Following dilatation of an occlusion the calibrator bead may be moved into the dilated lumen of the occlusion in order to determine whether the occlusion has been sufficiently dilated.
- the two objects are thereby achieved without the need of in- dulging in the time-consuming and hazardous activities of repeatedly removing and replacing catheters.
- the principal object of the invention is to combine in a single catheter instrument dilatation balloon means which can be inflated and deflated and calibrator bead means to measure the lumen of the dilated occlusion in the artery.
- Fig. 1 is a semi-schematic view of the present catheter positioned adjacent an occlusion.
- Fig. 2 is a similar view showing the occlusion being dilated.
- Fig. 3 is a similar view showing the balloon element reinverted.
- Fig. 4 is a similar view showing the catheter during the course of movement through the same artery to the next occlusion to be treated.
- Fig. 5 is a view showing in elevation and longitudi- nal cross-section the details and construction of the present catheter with the balloon element everted.
- Fig. 6 is a view like that of Fig. 5 showing the balloon element in inverted condition.
- the catheter comprises a calibrator oval 10, a flexible shaft 12, a manifold 14 which serves for the connec ⁇ tion of a syringe 16 to the instrument, a balloon 18 which is longitudinally extensible from the oval 10 under the fluid pressure applied by syringe 16 and thereafter laterally expan- sible under increased fluid pressure, and a guide wire 20 to be pulled to re-invert the balloon 18 within the oval 10.
- a blood vessel 22 partially occluded by occlusion 24 is provided with an incision 26 for the introduction into the vessel of the catheter.
- the catheter is moved along the vessel until the oval 10 bears against the end of occlusion 24, as shown in Fig. 1.
- the syringe 16 is then attached to manifold 14 and actuated to evert the balloon 18 and extend it into the restricted lumen of occlusion 24.
- the fluid pressure is then increased to radially expand the balloon and compress the occlusion.
- the fluid pressure is then reduced by reverse operation of the syringe and the syringe is removed from manifold 14.
- Wire 20 is then manually pulled to re- invert the balloon within the oval.
- the ' oval is then moved within the compressed occlusion 24.
- the details of construction of the instrument are shown in Figs. 5 - 6.
- the oval 10 and shaft 12 are formed by a tightly would helical spring 28 which provides the catheter with sufficient flexibility to enable its movement through tortuous arteries.
- the oval and shaf are provided with an overcoating 30 of silicone, heat-shrink tubing. Teflon, or the like.
- the balloon element 18 is made of an elastomeric material such as latex. One end of the balloon is attached to the end of the oval 10 and the other end of the balloon is attached with suture 32 to guide wire 20.
- the wire 20 is small in diameter relative to the internal diameter of spring 28 to provide an annular fluid passage between the syring 16 and balloon 18.
- invert-evert form of balloon is preferred, other types and forms of balloons may be used as long as they do not impede the movability of the catheters through the arteries and as long as they do not interfere with the use of the calibrator ovals to measure or calibrate the inside diameters of the arterial lumens.
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Anesthesiology (AREA)
- Child & Adolescent Psychology (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Vascular Medicine (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
Un catheter est pourvu d'un element a ballon gonflable-degonflable (18) pour agrandir radialement une ouverture d'artere partiellement bouchee, et le catheter est pourvu d'un calibreur ovale (10) pour calibrer interieurement l'ouverture agrandie. Le procede d'utilisation comporte une serie d'applications par tatonnement ou l'occlusion est dilatee par l'element a ballon puis mesuree par le calibreur ovale.A catheter is provided with an inflatable-deflatable balloon element (18) for radially enlarging a partially plugged artery opening, and the catheter is provided with an oval sizer (10) for internally calibrating the enlarged opening. The method of use involves a series of trial and error applications where the occlusion is expanded by the balloon element and then measured by the oval sizer.
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AT81902185T ATE22398T1 (en) | 1980-07-28 | 1981-07-24 | EXPANDABLE CALIBRATION CATHETER. |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US172764 | 1980-07-28 | ||
US06/172,764 US4328811A (en) | 1980-07-28 | 1980-07-28 | Calibrating dilation catheter |
Publications (3)
Publication Number | Publication Date |
---|---|
EP0057205A1 true EP0057205A1 (en) | 1982-08-11 |
EP0057205A4 EP0057205A4 (en) | 1984-05-29 |
EP0057205B1 EP0057205B1 (en) | 1986-09-24 |
Family
ID=22629137
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP81902185A Expired EP0057205B1 (en) | 1980-07-28 | 1981-07-24 | Calibrating dilatation catheter |
Country Status (5)
Country | Link |
---|---|
US (1) | US4328811A (en) |
EP (1) | EP0057205B1 (en) |
JP (1) | JPS5943173B2 (en) |
CA (1) | CA1160127A (en) |
WO (1) | WO1982000409A1 (en) |
Families Citing this family (42)
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US4624671A (en) * | 1984-06-25 | 1986-11-25 | Kress Donald W | Method of sizing and implanting breast prosthesis |
US4587975A (en) * | 1984-07-02 | 1986-05-13 | Cardiac Pacemakers, Inc. | Dimension sensitive angioplasty catheter |
US5133732A (en) | 1987-10-19 | 1992-07-28 | Medtronic, Inc. | Intravascular stent |
JPH01161064U (en) * | 1988-04-30 | 1989-11-08 | ||
US5010892A (en) * | 1988-05-04 | 1991-04-30 | Triangle Research And Development Corp. | Body lumen measuring instrument |
US5195972A (en) * | 1988-10-28 | 1993-03-23 | Kanji Inoue | Balloon catheter assembly |
US5150717A (en) * | 1988-11-10 | 1992-09-29 | Arye Rosen | Microwave aided balloon angioplasty with guide filament |
US6344053B1 (en) | 1993-12-22 | 2002-02-05 | Medtronic Ave, Inc. | Endovascular support device and method |
CA2048120A1 (en) * | 1990-08-06 | 1992-02-07 | William J. Drasler | Thrombectomy method and device |
US5342384A (en) * | 1992-08-13 | 1994-08-30 | Brigham & Women's Hospital | Surgical dilator |
US5571135A (en) * | 1993-10-22 | 1996-11-05 | Scimed Life Systems Inc. | Stent delivery apparatus and method |
US5445646A (en) * | 1993-10-22 | 1995-08-29 | Scimed Lifesystems, Inc. | Single layer hydraulic sheath stent delivery apparatus and method |
US5989280A (en) * | 1993-10-22 | 1999-11-23 | Scimed Lifesystems, Inc | Stent delivery apparatus and method |
US5702419A (en) | 1994-09-21 | 1997-12-30 | Wake Forest University | Expandable, intraluminal stents |
AU6029696A (en) * | 1995-06-07 | 1996-12-30 | St. Jude Medical Inc. | Adjustable sizing apparatus for heart annulus |
US5800517A (en) * | 1996-08-19 | 1998-09-01 | Scimed Life Systems, Inc. | Stent delivery system with storage sleeve |
DE59711236D1 (en) | 1997-06-30 | 2004-02-26 | Medex Holding Gmbh | Intraluminal implant |
AU738093B2 (en) | 1997-09-11 | 2001-09-06 | Marc G. Apple | Medical radiation treatment delivery apparatus |
US7879022B2 (en) | 1998-02-06 | 2011-02-01 | Medrad, Inc. | Rapid exchange fluid jet thrombectomy device and method |
US9586023B2 (en) | 1998-02-06 | 2017-03-07 | Boston Scientific Limited | Direct stream hydrodynamic catheter system |
WO1999042165A1 (en) | 1998-02-20 | 1999-08-26 | Cook Incorporated | Medical, radiotherapy source vial |
US6113608A (en) * | 1998-11-20 | 2000-09-05 | Scimed Life Systems, Inc. | Stent delivery device |
US6319281B1 (en) | 1999-03-22 | 2001-11-20 | Kumar R. Patel | Artificial venous valve and sizing catheter |
US6790196B2 (en) | 2001-12-18 | 2004-09-14 | Scimed Life Systems, Inc. | Aspirating devices for removal of thrombus/lipid from a body lumen |
US20030187498A1 (en) * | 2002-03-28 | 2003-10-02 | Medtronic Ave, Inc. | Chamfered stent strut and method of making same |
US20060129091A1 (en) | 2004-12-10 | 2006-06-15 | Possis Medical, Inc. | Enhanced cross stream mechanical thrombectomy catheter with backloading manifold |
US7744620B2 (en) | 2003-07-18 | 2010-06-29 | Intervalve, Inc. | Valvuloplasty catheter |
US7572244B2 (en) | 2004-08-02 | 2009-08-11 | Medrad, Inc. | Miniature cross stream thrombectomy catheter |
JP4665563B2 (en) * | 2005-03-09 | 2011-04-06 | オムロン株式会社 | Undervoltage alarm method, undervoltage alarm circuit and switching power supply |
US8012117B2 (en) * | 2007-02-06 | 2011-09-06 | Medrad, Inc. | Miniature flexible thrombectomy catheter |
US20080188793A1 (en) | 2007-02-06 | 2008-08-07 | Possis Medical, Inc. | Miniature flexible thrombectomy catheter |
US8162878B2 (en) * | 2005-12-05 | 2012-04-24 | Medrad, Inc. | Exhaust-pressure-operated balloon catheter system |
US8974418B2 (en) * | 2007-06-12 | 2015-03-10 | Boston Scientific Limited | Forwardly directed fluid jet crossing catheter |
US20080319386A1 (en) * | 2007-06-20 | 2008-12-25 | Possis Medical, Inc. | Forwardly directable fluid jet crossing catheter |
US8303538B2 (en) * | 2007-12-17 | 2012-11-06 | Medrad, Inc. | Rheolytic thrombectomy catheter with self-inflating distal balloon |
WO2009082669A1 (en) * | 2007-12-26 | 2009-07-02 | Medrad, Inc. | Rheolytic thrombectomy catheter with self-inflating proximal balloon with drug infusion capabilities |
US8647294B2 (en) | 2008-03-20 | 2014-02-11 | Medrad, Inc. | Direct stream hydrodynamic catheter system |
JP2012505050A (en) * | 2008-10-10 | 2012-03-01 | インターバルブ, インコーポレイテッド | Valvuloplasty catheter and method |
EP2616130A4 (en) | 2010-09-13 | 2013-07-24 | Intervalve Inc | Positionable valvuloplasty catheter |
CN105919649B (en) * | 2016-06-15 | 2018-03-23 | 汕头大学医学院第一附属医院 | A kind of telescopiform vascular inner body withdrawing device |
RU173622U1 (en) * | 2016-12-30 | 2017-09-04 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет им. Н.Н. Бурденко" Министерства здравоохранения Российской Федерации | DEVICE FOR DETERMINING THE STRENGTH OF SEAMS OF THE ESOPHAGUS IN THE EXPERIMENT |
US10575973B2 (en) | 2018-04-11 | 2020-03-03 | Abbott Cardiovascular Systems Inc. | Intravascular stent having high fatigue performance |
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FR790091A (en) * | 1934-08-14 | 1935-11-12 | Device intended for the exploration and graphic inscription of the shape of all internal anatomical cavities | |
US2729211A (en) * | 1950-07-07 | 1956-01-03 | Peter Josef | Device for examining the condition of the stomach |
US3046601A (en) * | 1959-08-28 | 1962-07-31 | Shell Oil Co | Cavity configuration determination |
US3247841A (en) * | 1961-05-29 | 1966-04-26 | Galen B Cook | Diagnostic method |
US3227154A (en) * | 1962-05-11 | 1966-01-04 | Galen B Cook | Diagnostic bag with impressionable outer surface and method of using it |
US3313292A (en) * | 1965-06-24 | 1967-04-11 | Galen B Cook | Diagnostic composition package |
US3707146A (en) * | 1967-03-07 | 1972-12-26 | Prod Res & Chem Corp | Means to inject a plastic into a cavity to produce a replica thereof |
US3692018A (en) * | 1970-02-11 | 1972-09-19 | Robert H Goetz | Cardiac assistance device |
US3734083A (en) * | 1970-09-22 | 1973-05-22 | Univ California | Electromagnetic catheter velometer-flow meter |
US3726273A (en) * | 1971-07-21 | 1973-04-10 | N Cole | Muscle exercising device |
US3848602A (en) * | 1972-04-19 | 1974-11-19 | Gutnick Morton | Abortion facilitating device and process |
US3978863A (en) * | 1974-06-06 | 1976-09-07 | Bruce E. Fettel | Expanding tip embolectomy catheter with indicator balloon |
US3938504A (en) * | 1974-10-30 | 1976-02-17 | Dickinson Ben Wade O Iii | Method for measuring vagina dimensions |
US3982544A (en) * | 1974-11-18 | 1976-09-28 | Johnson & Johnson | Device for everting a probe into a body cavity |
US4020829A (en) * | 1975-10-23 | 1977-05-03 | Willson James K V | Spring guide wire with torque control for catheterization of blood vessels and method of using same |
US4029104A (en) * | 1976-03-08 | 1977-06-14 | Kerber Charles W | Calibrated leak balloon micro-catheter |
US4213461A (en) * | 1977-09-15 | 1980-07-22 | Pevsner Paul H | Miniature balloon catheter |
US4091816A (en) * | 1977-01-28 | 1978-05-30 | Elam James O | Double cuffed endotracheal tube |
US4236527A (en) * | 1978-10-20 | 1980-12-02 | Massachusetts General Hospital | Cardiac output detection by multiple frequency thermodilution |
US4285341A (en) * | 1978-11-22 | 1981-08-25 | Pollack Charles N | Extracorporeal cannula apparatus with retractable intralumenal balloon and method for using same |
US4224951A (en) * | 1978-11-30 | 1980-09-30 | Hasson Harrith M | Gynecological instrument |
US4254774A (en) * | 1979-02-14 | 1981-03-10 | The United States Of America As Represented By The Department Of Health, Education And Welfare | Balloon catheter and technique for the manufacture thereof |
FR2453634A1 (en) * | 1979-04-13 | 1980-11-07 | Electro Mecanique Lab | Measurement of laryngo-tracheal passage - uses inserted flexible plastics balloon which is inflated to press against walls of passage |
US4271839A (en) * | 1979-07-25 | 1981-06-09 | Thomas J. Fogarty | Dilation catheter method and apparatus |
-
1980
- 1980-07-28 US US06/172,764 patent/US4328811A/en not_active Expired - Lifetime
-
1981
- 1981-07-24 CA CA000382543A patent/CA1160127A/en not_active Expired
- 1981-07-24 EP EP81902185A patent/EP0057205B1/en not_active Expired
- 1981-07-24 JP JP56502720A patent/JPS5943173B2/en not_active Expired
- 1981-07-24 WO PCT/US1981/001013 patent/WO1982000409A1/en active IP Right Grant
Non-Patent Citations (1)
Title |
---|
See references of WO8200409A1 * |
Also Published As
Publication number | Publication date |
---|---|
JPS5943173B2 (en) | 1984-10-20 |
US4328811A (en) | 1982-05-11 |
EP0057205B1 (en) | 1986-09-24 |
WO1982000409A1 (en) | 1982-02-18 |
EP0057205A4 (en) | 1984-05-29 |
CA1160127A (en) | 1984-01-10 |
JPS57501066A (en) | 1982-06-24 |
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